NPI 1033505730

Goodheart Pharmacy

Organisation Health Maintenance Organization Philadelphia, PA

Practice location

Address: 4835 Woodland Ave, Philadelphia, PA 19143-4433
Phone: (215) 724-3300
Fax: (215) 724-3301

Authorised official

Name: Obioma Aguocha
Title: Pharmacist
Phone: (215) 724-3300

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence PP482140 (PA)

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Registry record

NPI: 1033505730
Entity type: Organization
NPI issued: 9 Apr 2015
Record last updated: 9 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.